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Fewer than 50% of women prescribed teratogenic medications by internists or family physicians receive contraceptives. To determine the prevalence in a pediatric setting, investigators at an academic medical center retrospectively reviewed electronic medical records (EMRs) for 1700 female patients (mean age, 16) who were prescribed drugs labeled pregnancy category risk D or X at hospital discharge or outpatient visits between 2008 and 2012. For each of 4200 encounters, investigators searched records for keywords (e.g., abstinence, birth control, condoms, sexually active) and prescriptions or referrals for contraception. Encounters containing one or more key terms were classified as having appropriate documentation.
Topiramate, methotrexate, d…